Individual
MR. ROBERT EDWARD KOORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WELLS STREET- SUITE 1B, HARTFORD, CT 06103
(860) 525-2672
(860) 727-0897
Mailing address
136 WEST MAIN STREET, HARTFORD ORTHOPEDIC MEDICINE, NEW BRITAIN, CT 06052-1315
(860) 826-4763
(860) 826-4762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032768
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073711651
—
CT
Enumeration date
09/28/2006
Last updated
05/04/2016
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